Dr. ELMER T CARLSON, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. ELMER T CARLSON, MD

4880 North Highway 19A, Suite 200

Mount Dora, FL

32757

Lake

Court Case # 09-CA5071

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201056025
Claim Number :	158671
Date Submitted :	5/23/2012

Insurer Information

Insurer Name				Coverage Type
PROASSURANCE CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
38-2317569
Insurer Contact Information
Type		Entity Name
Entity		PROASSURANCE CASUALTY COMPANY
Street Address
14497 North Dale Mabry, Suite 115-N
City				State	Zip
Tampa				FL	33618
Phone	Ext	Fax	E-Mail Address
(813) 969 - 2010		(813) 969 - 2120	SNorris@ProAssurance.com

Insured Information

Type	First Name		MI	Last Name
Individual	Elmer		T	Carlson
Insurer Type		Street Address of Practice
Licensed		4880 North Highway 19A, Suite 200
City		State	Zip Code	County
Mount Dora		FL	32757	Lake
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
MP35893		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME20114		Pediatrics - No Surgery		0000

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Lake
City			State	Zip Code

Location where injury occured		Other location where injury occured
Patient's Home
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
8/27/2007		3/9/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Assistance in withdrawl of Benzodiazepines.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Methadone assisted withdrawal of Benzodiazepines.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Decresed mental capacity.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
9/2/2009			09-CA5071
County Suit Filed in			Date of Final Disposition
Lake			12/16/2009
Other Defendants Involved in this Claim
Holiday CVS, L.L.C. d/b/a CVS Pharmacy #4465 Schultz, Patricia Patricia G. Schultz, ARNP, P.A. Lake Pediatrics, P.A. CATS of Tavares, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/13/2010

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$250,000

Loss Adjust Expense Paid to Defense Counsel

$28,981

All Other Loss Adjustment Expense Paid

$3,765

Injured Person's Total Non-Economic Loss

$250,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insured has discussed case with insurance company personnel, medical experts and defense counsel.

Updates

Date of Change:

1/19/2011 11:03:55 AM

Reason for Change:

Report updated to give date of payment and additional legal fees and costs paid.

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	2055	3676
Amount of Loss Adjustment Expense Paid to Defense Counsel	20726	28981

Date of Change:

5/23/2012 2:28:24 PM

Reason for Change:

State Report has been updated to reflect additional legal fees and expenses paid.

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	3676	3765

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Frequently Asked Questions

Does Dr. ELMER T CARLSON, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. ELMER T CARLSON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).